| NPI | 1639965577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207UN0902X Nuclear Medicine, Nuclear Imaging & Therapy (Licence: CA RHN00004320) |
| Additional Taxonomies | 2471C3401X Radiologic Technologist, Computed Tomography (Licence: RHT00108322) |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-04-17 |